| Randall N Ruff Ddspc | |
|
3709 E Court St Flint MI 48506-4107 | |
| (810) 715-7833 | |
| Not Available |
| Full Name | Randall N Ruff Ddspc |
|---|---|
| Speciality | Dentist |
| Location | 3709 E Court St, Flint, Michigan |
| Authorized Official Name and Position | Randall Norman Ruff (DENTIST) |
| Authorized Official Contact | 8107157833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall N Ruff Ddspc 3709 E Court St Flint MI 48506-4107 Ph: (810) 715-7833 | Randall N Ruff Ddspc 3709 E Court St Flint MI 48506-4107 Ph: (810) 715-7833 |
| NPI Number | 1730349994 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 08/12/2008 |
| Medicare PECOS PAC ID | 0840365771 |
|---|---|
| Medicare Enrollment ID | O20080812000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730349994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13813 (Michigan) | Primary |
| Provider Name | Randall N Ruff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265547632 PECOS PAC ID: 6901971829 Enrollment ID: I20080812000446 |
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